优先排序与委派练习卷（附答案）

What does a “STAT” order mean?

1. ACarry it out only if the patient asks for it
2. BCarry it out immediately
3. CCarry it out at the next routine round
4. DCarry it out within the next 24 hours

In delegation, what does the “right task” mean?

1. AThe task is the one the nurse likes least
2. BThe task has been requested by the patient or the patient’s family
3. CThe task can be finished in under ten minutes
4. DThe task is one that may be delegated for this patient

在大规模伤亡事件的分诊中，黑色标签表示什么？

1. A已死亡，或以现有资源不太可能存活
2. B可以等待许多小时的轻伤
3. C所有伤员中最高的治疗优先级
4. D受污染，在给予任何救治之前需要完全洗消

On day 3 after hip surgery, a patient suddenly becomes short of breath with sharp chest pain and an SpO₂ of 88%. What should the nurse do first?

1. AMassage the patient’s calves to ease any muscle cramp
2. BEncourage the patient to walk to improve the circulation
3. CGive the next dose of oral analgesia and reassess the patient in an hour
4. DRaise the head of the bed, give oxygen and call for urgent help

Before accessing a central venous catheter, what should the nurse do to prevent infection?

1. ABlow on the hub to remove any dust before connecting the syringe or line
2. BScrub the hub with an antiseptic such as chlorhexidine and let it dry
3. CTouch the hub to check it is clean
4. DRinse the hub with tap water and dry it

对于采取防跌倒措施的患者，护士应将哪项任务委派给护理助理？

1. A决定是否仍需要床边警报器
2. B教家属如何在家中预防跌倒
3. C每天早晨评估并记录患者的跌倒风险评分
4. D按计划每 2 小时协助患者上厕所

A patient with a severe asthma attack had a PaCO₂ of 32 mmHg (4.3 kPa) on arrival. An hour later it is 46 mmHg (6.1 kPa), and the patient seems tired. What does this suggest?

1. ARespiratory muscle fatigue with possible impending respiratory failure
2. BThe patient is hyperventilating even more than before and needs calming
3. CThe asthma is improving, because the PaCO₂ is now near normal
4. DA laboratory error that should be ignored

After a head injury, a patient has clear fluid dripping from the nose. Which action should the nurse avoid?

1. AInserting a tube or suction catheter through the nose
2. BInforming the provider about the drainage
3. CChecking the fluid for glucose or a halo sign on gauze
4. DPlacing a loose gauze under the nose